Provider Demographics
NPI:1548682206
Name:BITTING, BRYAN DANIEL (DPT)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:DANIEL
Last Name:BITTING
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 W HOYT DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-3614
Mailing Address - Country:US
Mailing Address - Phone:430-201-5645
Mailing Address - Fax:972-207-5406
Practice Address - Street 1:109 W HOYT DR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-3614
Practice Address - Country:US
Practice Address - Phone:430-201-5645
Practice Address - Fax:903-207-5406
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1236861225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist